Why switch How it works Features Who it's for About CODEMED Request a demo
NEWAI-assisted review — AI reads the record and drafts each determination. Your auditor makes the call.
Built for SMRC audits — by CODEMED, Inc.

Keep the revenue
you've already earned.

An SMRC finding means CMS recoups money you've already been paid — and a late or weak ADR response is an automatic loss. Stop auditing in Word documents: the SMRC Audit Tool turns record review into a structured checklist, and your findings into a professional report and action plan before your formal submission to CMS.

82%
Compliance score
Moderate risk
audit-report-2041.pdf
Report & action plan generated
app.codemed-inc.com/audits/2041
Audit #2041 — Surgical dressings Template: CMS SMRC · A/B MAC
Moderate risk Generate report
progress-note-03.pdf · p. 4/12
CMS REQUIREMENTS 9 of 11 reviewed
Physician order on fileMet
Wound measurements documentedPartial
Depth missing for wk 2–3. Ref: p.4 ¶2
Medical necessity supportedNot met
Dressing change frequency notedMet
Compliance score82%
PRE-BUILT CMS TEMPLATES Surgical dressingsDMEPart A inpatientPart BOutpatient
THE PROBLEM

ADR letters don't wait for your process to catch up

These aren't paperwork exercises. Every requirement you can't support is a claim CMS can recoup — dollars already in your revenue. Ignore the request and recoupment is automatic; respond poorly and you've conceded findings you could have defended. And the enterprise alternative means onboarding projects, integration teams, and $50K contracts — this is a simple tool any team can pick up today.

CODEMED has saved providers over $100K in recoupments — through clean audit responses, and appeals for providers who first submitted without us.
Auditing in Word today
Requirements copy-pasted between templates; every audit starts from a blank page
Every ADR is a fire drill — federal deadlines, tribal-knowledge process
Reports look different depending on who wrote them
Missed or weak responses concede recoupments you could have defended
Enterprise tools mean $50K+ contracts, onboarding projects, and integration teams
With the SMRC Audit Tool
Checklists built on current Medicare guidelines, NCDs, and LCDs
A repeatable process anyone on the team can run
One professional report format, every time
Know your exposure — and your defense — before CMS decides
Sign in and start auditing — no onboarding project, no IT team, any size practice
HOW IT WORKS

From ADR letter to action plan in four steps

01

Upload

Drop in the clinical documentation PDFs pulled for the request — progress notes, orders, delivery records.

02

Review

AI reads the record against the CMS checklist and drafts a determination for each requirement. Your auditor confirms or overrides.

03

Score

Compliance score and risk level — Low to Critical — calculate themselves as you go. No formulas to maintain.

04

Report

One click produces a formal PDF audit report — findings, references, score, and an action plan before your submission to CMS.

FEATURES

Everything the audit needs. Nothing it doesn't.

Purpose-built for SMRC audits — not a generic compliance suite with an audit module bolted on.

Split-screen PDF review

The record on the left, the live checklist on the right. No window juggling, no printing packets.

AI-drafted determinations

AI reads each document and drafts a Met / Not Met / Partial finding with reasoning. Your auditor stays in control — confirm, override, or add notes.

CMS-aligned checklists

Requirements built on current Medicare guidelines, NCDs, and LCDs — always current, nothing to maintain.

Live compliance scoring

Low to Critical risk levels calculated automatically as you work — no spreadsheets required.

One-click PDF reports

Professional audit report with findings, page references, compliance score, and a prioritized action plan — ready to submit.

Team access

Multiple auditors, one platform. Each engagement tracked, each report versioned, all history in one place.

WHO IT'S FOR

Built for the people who answer to CMS

Providers of every size — solo practices, physician groups, community and rural hospitals, and major health systems.

HIM directors & compliance officers

Standardize how your team responds to ADRs and see risk across every audit at a glance.

Medical coders

CCS, CPC, RHIA, RHIT — work the checklist the way you read a chart, with codes and references in mono where they belong.

Compliance consultants

Deliver every client the same defensible report format — and keep each engagement's history in one place.

USE IT YOUR WAY

Standalone software

Your team runs the audits. Templates, AI-drafted determinations, scoring, and reports — everything your auditors need to own the process in-house.

With CODEMED in the loop

No audit team, or none to spare? Our credentialed coders (CCS, CPC, RHIA, RHIT) run the review in the same tool and hand you the finished report and action plan.

CODEMED

Built by medical coding professionals, not software engineers

For over 27 years, CODEMED has provided medical coding, cancer registry, and HIM services to hospitals and independent practices — from California and Dallas, TX. The SMRC Audit Tool encodes how our own credentialed auditors work.

HIPAA compliant AHIMA / AAPC credentialed 100% US-based
Compliance trend across audits ▲ Improving
Q3Q4Q1Q2
$100K+
Saved from recoupment
27+
Years in business
200+
Hospitals & practices served
REQUEST A DEMO

Ready to modernize your audit process?

See the split-screen review, run a sample surgical-dressings audit, and generate a report — in a 30-minute walkthrough with our team.

Live walkthrough with a CODEMED auditor
Sample audit on your service type
No commitment, no IT project

Request received

We'll reach out within one business day to schedule your walkthrough.

No PHI, please. We'll only use this to schedule your demo.